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9 months and not much progress

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I've been on AP for 9 months now.  I had a huge flare when I first started

followed by a small amount of improvement.  Since then, I've had no more

improvement and in fact, I feel like I'm getting worse again.  Any ideas as to

what may be going on?  I'm about ready to give up on it, but I have no idea what

I would take if I do give up.

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